Heat: This is the most obvious villain
Current evidence-based NHS treatment focuses on lifestyle modification including weight loss, dietary changes, and increased physical activity, which have the strongest evidence for improving liver health
The vitamin B12 component provides ongoing supplementation that may be beneficial for many patients, particularly those with risk factors for deficiency
For those, in-office microneedling with PRP, fractional laser resurfacing, or surgical scar revision are the appropriate referrals
One example is collagen, which makes up connective tissue and is the most abundant protein in the body
This becomes particularly important for athletes following rigorous training schedules or participating in multi-day events